<h3>
    Demande  de renseignements</h3>
<table width="100%" border="0">
  <script type="text/javascript" language="JavaScript" src="js/veriform.js"></script>
  <tr>
    <td width="80%"><form action="cible.php" onsubmit="return verifFormRens(this)"  method="post">
      Raison sociale:&nbsp;
       <input type="text" name="raison" onblur="verifText(this)" />
<br />
        Nom :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;     
        <input type="text" name="nom" onblur="verifText(this)" />
        <br />
        Pr&eacute;nom :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
        <input type="text" name="prenom" onblur="verifText(this)" />
        <br />
        Fonction :&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
        <input type="text" name="fonction" onblur="verifText(this)" />
        <br />
        Effectif : &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
        <input type="text" name="effectif" onblur="verifNum(this)" />
        <br />
         Adresse:&nbsp; &nbsp; &nbsp; &nbsp; 
        <input type="text" name="adresse" size=40 onblur="verifEmpty(this)" />
         <br />
         Code postal :
        <input type="text" name="cp" onblur="verifCP(this)" />
         <br />
          T&eacute;l&eacute;phone:&nbsp; &nbsp; 
        <input type="text" name="telephone" onblur="verifTel(this)" />
        <br />
        E-mail :&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 
        <input type="text" name="email" size="30" onblur="verifMail(this)" />
        <br />
        Soci&eacute;t&eacute; :&nbsp; &nbsp; &nbsp; &nbsp; 
        <input type="text" name="societe" onblur="verifText(this)" />
        <br />
        Commentaire:
        <label>
        <textarea name="commentaire" id="textarea" cols="45" rows="5"></textarea>
        </label>
        <br />
        <br />
        <input type="submit" value="Valider" />
      </p>
      </fieldset>
      </div>
      <p>&nbsp;</p>
    </form></td>
  </tr>
  <tr>
    <td>&nbsp;</td>
  </tr>
</table>
<p>&nbsp;</p>
